typhlitic

I touched him very lightly and found enough to confirm my diagnosis of typhlitic abscess; this was the first time I had felt that I was justified in attempting to confirm my suspicions, and even this examination could not be called

Appendicitis John Henry Tilden 1895

My reason for so believing is that we always have a typhlitic or appendicular abscess at first; which naturally opens into the bowel, but if the abscess be interfered with -- handled roughly enough to rupture the pyogenic membrane -- the pus is forced into the subperitoneal tissue where it may gather and become encysted, but this is exceedingly doubtful.

Appendicitis John Henry Tilden 1895

The fact that a diagnosis was made in spite of the tympanitic distention is proof that a dangerous force was used in doing so, converting a typhlitic abscess into a perityphlitic one, and doubtlessly causing premature rupture into the bowel.

Appendicitis John Henry Tilden 1895

The first abscess is typhlitic, the second is perityphlitic.

Appendicitis John Henry Tilden 1895

Especially is this true when it is a_ positive fact _that all typhlitic and appendicular abscesses will open into the bowels if allowed to do so.

Appendicitis John Henry Tilden 1895

It is well to get this one fact well in mind, namely, appendicular and typhlitic abscesses are not accompanied with complete obstruction; hence, when the symptoms are so profound as to point to absolute obstruction, no delay should be made in having the abdomen opened and the obstruction, whatever it is, should be removed at once.

Appendicitis John Henry Tilden 1895

Of course if the unfortunate patient has fallen into the hands of some one who believes it the prerogative of a physician to manipulate in season and out of season, and who has converted a typhlitic abscess into a perityphlitic one, or forced the pus to burrow towards the groin, then a free opening with a let-alone after treatment, except thorough drainage, may be followed in time by restoration to health; however, if the patient fully recovers it will be more from luck than from the usual management.

Appendicitis John Henry Tilden 1895